J Korean Soc Vasc Surg.  2009 May;25(1):30-34.

Clinical Experience with Patients Suffering from Upper Extremity Deep Vein Thrombosis

Affiliations
  • 1Department of Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. hcyu@chonbuk.ac.kr
  • 2Department of Radiology, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.

Abstract

PURPOSE: The incidence and recognition of upper extremity deep venous thrombosis (UEDVT) has increased because of the use of central venous catheters and other central vein access procedures. UEDVT is associated significant mortality and a significant incidence of pulmonary embolism. The aim of this study is to report on our clinical experience with endovascular treatment in UEDVT patients.
METHODS
We retrospectively reviewed 6 patients who had UEDVT at the Chonbuk National University Hospital between March 2001 and January 2008.
RESULTS
The most common presenting symptom of UEDVT was upper extremity swelling and pain. The patients received catheter-directed thrombolytic therapy, aspiration thrombectomy, percutaneous balloon angioplasty and/or stent insertion. All the patients achieved complete restoration of venous patency and their symptoms improved.
CONCLUSION
Endovascular treatment is an effective method for the treatment of UEDVT. More studies are required to determine the long-term efficacy of endovascular treatment in UEDVT patients.

Keyword

Upper extremity; Central vein; Deep venous thrombosis; Endovascular treatment

MeSH Terms

Angioplasty, Balloon
Central Venous Catheters
Humans
Incidence
Pulmonary Embolism
Retrospective Studies
Stents
Stress, Psychological
Thrombectomy
Thrombolytic Therapy
Upper Extremity
Upper Extremity Deep Vein Thrombosis
Veins
Venous Thrombosis
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